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1750440087
GARRY ANDREW GRANT
EAU CLAIRE, WI
NPI
1750440087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: WI 728-039)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
GARRY ANDREW GRANT M.S., A.T.C., CSCS
105 GARFIELD AVE MCPHEE PHYSICAL EDUCATION CENTER
EAU CLAIRE, WI 54701-4811
Phone number: 715-836-3877
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Mailing Address
GARRY ANDREW GRANT M.S., A.T.C., CSCS
3477 SOUTHRIDGE COURT #2
EAU CLAIRE, WI 54701
Phone number: 715-836-3877
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